title: The Effect of Kangaroo Mother Care (KMC) on Breast Feeding at the Time of NICU Discharge.
abstract: BACKGROUND
  Exclusive breastfeeding is one of the most important essential components of Kangaroo Mother Care.
  
  
  OBJECTIVE
  This study was performed to evaluate the effects of KMC on exclusive breastfeeding just at the time of discharge.
  
  
  METHODS
  In this cross sectional study, 251 consecutive premature newborns admitted to neonatal intensive care unit (NICU) between May 2008 and May 2009 in Alzahra University Hospital in Tabriz were evaluated. All of candidate mothers were educated for KMC method by scheduled program. Standard questionnaire was prepared by focus group discussion, and mothers filled it prior to infant hospital discharge.
  
  
  RESULTS
  In this study 157(62.5%) mothers performed kangaroo mother care (KMC group) versus 94 (37.5%) in conventional method care (CMC group). In KMC group exclusive breast feeding was 98 (62.5%) vs. 34 (37.5%), and P =.00 in CMC group, at the time of hospital discharge. Receiving KMC, and gestational age were the only effective factors predicting exclusive breastfeeding. Our result indicated that there was a 4.1 time increase in exclusive breastfeeding by KMC, and also weekly increase in gestational age increased it 1.2 times, but maternal age, birth weight, mode of delivery, and 5 minute Apgar score had no influence on it.
  
  
  CONCLUSIONS
  KMC is more effective, and increases exclusive breast feeding successfully. It can be a good substitution for CMC (conventional methods of care). It is a safe, effective, and feasible method of care for LBWI even in the NICU settings.
authors.affiliation: Neonatal Health Office, Ministry of Health, Tehran, IR Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Heidarzadeh
authors.forename: Mohammad Bagher
authors.initials: MB
authors.lastname: Hosseini
authors.forename: Mashallah
authors.initials: M
authors.lastname: Ershadmanesh
authors.forename: Maryam
authors.initials: M
authors.lastname: Gholamitabar Tabari
authors.forename: Soheila
authors.initials: S
authors.lastname: Khazaee
keywords: Breast Feeding; Kangaroo-Mother Care Method